Mortalidade segundo sua causa de morte e seus determinantes: uma análise para as capitais brasileiras e municípios do nordeste do Brasil, 2000 e 2010

This dissertation considered the development of two papers, both related to mortality in Brazil. In the first article, "The context of mortality according to the three broad groups of causes of death in Brazilian capitals, 2000 and 2010", the objective was to analyze the mortality rate according to the three major groups of causes of death in Brazilian capitals. In the second article, "Typology and characteristics of mortality from external causes in the municipalities in the Northeast of Brazil, 2000 and 2010", it was built up a typology for the Northeastern municipalities taking into account information on mortality from external causes and a set of indicators related to socioeconomic, demographic, and infrastructure aspects of such municipalities, both articles for the years 2000 and 2010. Thus, we used data from the Mortality Information System of the Ministry of Health. Furthermore, it was used information from the Demographic Census for those years. The variables relating to socioeconomic and demographic conditions used in this study were those available on the home page of the United Nations Program for Development. The variables relating to socioeconomic and demographic conditions used in this study were those available on the home page of the United Nations Program for Development. Was used in Article 1 the pro-rata distribution method to accomplish the redistribution of ill-defined causes. Moreover, made use of the technique of cluster analysis with the aim of grouping the capital that had proportions of deaths from ill-defined causes similar to each other. Already in Section 2, we used the technique of Empirical Bayesian estimation; spatial statistics technique; and finally, the Grade of Membership method to find types of municipalities from information on mortality from external causes associated with socioeconomic, demographic and infrastructure variables. As the main results, it stands out in Article 1, in relation to data quality, we observed the formation of four groups of similar capital between themselves, as the proportion of illdefined causes. Regarding the behavior of mortality, according to the three major groups of causes of death, it was noted both for 2000 and for 2010 the prevalence of deaths from noncommunicable diseases for both sexes, although the reduction was identified rates in some of the capitals. Communicable diseases stood out as the second cause of death among women. Also, we found that deaths due to external causes are responsible for the second cause of death among men, as well as presenting an increase among women. As for the Article 2, stands out, in general, not just an extension of mortality from external causes in the municipalities, as well as an enlargement of the configurator stain existence of external cause deaths for the whole area of Northeast. Regarding the typology of municipalities, three vi extreme profiles were buit: the profile 1, which comprises municipalities with high rates of mortality from external causes and the best social indicators; the profile 2, that was composed of municipalities that are characterized by having low mortality rates from external causes and the lowest social indicators; and the profile 3, that brings together municipalities with intermediate mortality rates and median values considered in relation to social indicators. Although we have not seen changes in the characteristics of the profiles, we observed an increase in the proportion of municipalities that belong to the extreme profile 3, taking into account the mixed profiles.

Resiliência e apoio social em gestantes tardias

The gestation process, in general, is a very important event on a woman’s life and it brings phisical, phisiological and emotional changes, which by itself is an experience full of intense feelings. By late-aged pregnancy we mean those which occurs at the age of 35 or further. The occurance of this type of pregnancy is rising in Brasil and throughout the world, factors such as, better access to birth control resources and the search for financial stability explains the pregnancy delay. Important processes like resilience and social support can help late-aged pregnant women, in a benefical way, to adapt to the gestation process. Resilience is the capacity that a certain individual or group of individuals have to go through an adverse situation, be able to overcome it and become streghtened, transforming it in motivation for its biopsichosocial development. Social support is a complex and dinamic process that involves transactions between individuals and their social networks, meeting the social needs, promoting and complementing the personal resources that they have to face new demands. This research has the intention of raising information about the issues of late-aged pregnant women in the County of Natal- RN, the main objective was to evaluate the resilience indicators and the social support on late-aged pregnant women in the Natal-RN County. A transversal cut, correlational and descriptive research that was done with 150 lateaged pregnant women. The tools that were used were: A form with sociodemographic and gestation info, the scale of resilience and social support. An eletronic spreadsheet sofware (Excel e SPSS 21.0) was used to analize data which helped on the statistics according to its variables and the objective of this work. For the nominal variables, relative frequencies were used and for continuous the Pearson correlation and determination coefficient were used, regarding that; the sample had a normal distribution. The project fulfilled the ethnic aspects prescribed by Resolution 466/12 of the National Health Council, with a favorable decision (356.436/ 2013) of the UFRN Ethics on Research Committee. Most of the pregnant women had a low money income and education level, born in the state of Rio Grande do Norte they had an average age of 37,49 (±2,577), catholic, married, house wives, they had more than one child and were on their third trimester of pregnancy; they also had a low past abortion rate, not having planned their pregnancy, with an average of 4,22 (±2,506) pre-natal appointments, residing with an average of 3,673 (±1,397) people, having used any sort of birth control device and having high indicators of resilience and social support. The correlations kept between resilience, social support and some of the social demographics and gestation variables were considered low. Such data points out the fact that most of these women were in a stable relationship; they hadn’t had a past of abortion, they were involved with some kind of religion, they were not first pregnancy mothers, had an age on which they are not considered inexperienced mothers and even had scored high on the social support scale, these may all possibly be the most contributing factors on development and resilience building on these 35 years or more mothers. We expect that the data and information from this research may add up knowledge, actions and improvements regarding late-aged pregnant women and the pregnancy phenomena in general.

Levantamentos epidemiológicos em saúde bucal: análise da metodologia proposta pela Organização Mundial da Saúde

Epidemiological surveys are important for obtaining information on the prevalence and etiology of mouth diseases, since the data collected permit health actions to be planned, performed, and assessed. Methodological uniformity is necessary, however, to maintain reproductibility, validity, and reliability, and to allow national and international comparisons. The initiative of the World Health Organization (WHO) as an advisor in ongoing surveys has been extremely useful, stimulating standardization in all countries. In 1991, a Portuguese version of the 1987 third edition of Oral Health Surveys - basic methods, an instruction manual for performing epidemiological surveys, was published and became a reference for many parts of Brazil and the World. The present analysis found conflicting points in relation to the sample size, calibration of the examiners, and criteria for evaluating oral health and treatment needs. In conclusion, due to the dynamic characteristics of scientific knowledge and, considering the regional differences in relation to the development of oral diseases, we recommend that proposals for standardizing surveys be checked periodically. Other important issues may have not been detected in this analysis, urging a thorough discussion within the dentistry community as a whole.

Levantamentos epidemiológicos em saúde bucal: análise da metodologia proposta pela Organização Mundial da Saúde

Epidemiological surveys are important for obtaining information on the prevalence and etiology of mouth diseases, since the data collected permit health actions to be planned, performed, and assessed. Methodological uniformity is necessary, however, to maintain reproductibility, validity, and reliability, and to allow national and international comparisons. The initiative of the World Health Organization (WHO) as an advisor in ongoing surveys has been extremely useful, stimulating standardization in all countries. In 1991, a Portuguese version of the 1987 third edition of Oral Health Surveys - basic methods, an instruction manual for performing epidemiological surveys, was published and became a reference for many parts of Brazil and the World. The present analysis found conflicting points in relation to the sample size, calibration of the examiners, and criteria for evaluating oral health and treatment needs. In conclusion, due to the dynamic characteristics of scientific knowledge and, considering the regional differences in relation to the development of oral diseases, we recommend that proposals for standardizing surveys be checked periodically. Other important issues may have not been detected in this analysis, urging a thorough discussion within the dentistry community as a whole.

Vernaculares: a casa de fazenda seridoense do século XIX como exemplo de adaptação ao clima semiárido

The farm’s rural dwellings of creation from the Seridó Potiguar microregion, built in the nineteenth century, became a reference by its vernacular character, i.e. these buildings, besides having recognized relevance to the identity of the region, they are adapted to the conditions of the place in many aspects (economic, cultural, construction, physical, et.) and consist in protective spaces in relation to hostile characteristics of Seridó’s climate. Considering the above premise, the following question arises: What characteristics of the nineteenth century Seridó Potiguar’s cattle farms are crucial for them to be a protective space in relation to the semiarid climate? In order to answer the question, this research aim to identify which particularities of the Seridó’s farmhouses that contribute to adaptability in these buildings to semiarid climate, as protection environments; and contribute to the stock valuation of the architectural heritage concerned. Therefore, procedures were adopted divided into two stages. Were first identified the recurring characteristics in the studied buildings, through typological study performed from existing inventories (DINIZ, 2008; FEIJÓ, 2002; IPHAN, 2012). To define the type it worked up with the concept that merges Durand’s analytical typology that identifies the similarities and differences to classify buildings, having the character of historical survey and architectural documentation, with the definition proposed by Argan (1963) that the type is not defined a priory, but the deduction from a number of illustrative cases which have formal and functional similarity with each other. Then worked up in a sample of five different types with each other, defined by the possibility of access to the interior of the houses, proximity to other copies, good state of conservation and preservation. The contemplated farms were: Pitombeiras, Agenus e Garrotes in Acari’s town, and the municipality of Caicó, Palma and Penedo. The second stage consists of the architectural survey, photographic record, digital three-dimensional modeling (aiming to expand the existing documentation and registration) and thermal monitoring over approximately a representative day in five farmhouses, relating the thermal performance of the houses with their individual characteristics. The selected variables for analysis monitoring are based on the thermal comfort adaptive model (SPAGNOLO and DE DEAR, 2003 apud NEGREIROS, 2010). The characteristics of the houses were analyzed as meeting the passive thermal conditioning strategies recommended by NBR 15220 (ABNT, 2005), for the bioclimatic zone 7 where the municipalities of Caicó and Acari are located. The house’s analysis of the operating temperatures revealed that 90% of the times of day the environments are within the comfort range. The farmhouses, which had a higher degree of compliance with recommended bioclimatic strategies, had the best thermal performance. In environments (usually the kitchen and rooms with low ceiling heights, exposed to west radiation) which still had discomfort hours, the thermal comfort can be reached with air movement approximately 1,0 m/s.

Vernaculares: a casa de fazenda seridoense do século XIX como exemplo de adaptação ao clima semiárido

The farm’s rural dwellings of creation from the Seridó Potiguar microregion, built in the nineteenth century, became a reference by its vernacular character, i.e. these buildings, besides having recognized relevance to the identity of the region, they are adapted to the conditions of the place in many aspects (economic, cultural, construction, physical, et.) and consist in protective spaces in relation to hostile characteristics of Seridó’s climate. Considering the above premise, the following question arises: What characteristics of the nineteenth century Seridó Potiguar’s cattle farms are crucial for them to be a protective space in relation to the semiarid climate? In order to answer the question, this research aim to identify which particularities of the Seridó’s farmhouses that contribute to adaptability in these buildings to semiarid climate, as protection environments; and contribute to the stock valuation of the architectural heritage concerned. Therefore, procedures were adopted divided into two stages. Were first identified the recurring characteristics in the studied buildings, through typological study performed from existing inventories (DINIZ, 2008; FEIJÓ, 2002; IPHAN, 2012). To define the type it worked up with the concept that merges Durand’s analytical typology that identifies the similarities and differences to classify buildings, having the character of historical survey and architectural documentation, with the definition proposed by Argan (1963) that the type is not defined a priory, but the deduction from a number of illustrative cases which have formal and functional similarity with each other. Then worked up in a sample of five different types with each other, defined by the possibility of access to the interior of the houses, proximity to other copies, good state of conservation and preservation. The contemplated farms were: Pitombeiras, Agenus e Garrotes in Acari’s town, and the municipality of Caicó, Palma and Penedo. The second stage consists of the architectural survey, photographic record, digital three-dimensional modeling (aiming to expand the existing documentation and registration) and thermal monitoring over approximately a representative day in five farmhouses, relating the thermal performance of the houses with their individual characteristics. The selected variables for analysis monitoring are based on the thermal comfort adaptive model (SPAGNOLO and DE DEAR, 2003 apud NEGREIROS, 2010). The characteristics of the houses were analyzed as meeting the passive thermal conditioning strategies recommended by NBR 15220 (ABNT, 2005), for the bioclimatic zone 7 where the municipalities of Caicó and Acari are located. The house’s analysis of the operating temperatures revealed that 90% of the times of day the environments are within the comfort range. The farmhouses, which had a higher degree of compliance with recommended bioclimatic strategies, had the best thermal performance. In environments (usually the kitchen and rooms with low ceiling heights, exposed to west radiation) which still had discomfort hours, the thermal comfort can be reached with air movement approximately 1,0 m/s.

Transição demográfica e a questão educacional: uma abordagem para o ensino médio do Rio Grande do Norte

Due to demographic transition process, the educational public sector politics formers encounter a highly specific demographic situation because, nowadays, despite the demographic transition, population is still growing because of the demographic inertia; however, due to steady decline in fertility, young population tends to decrease in next years. In this way, aiming to make high school widely accessible in the country, the issue of education quality is highlighted as well the importance of the physical structure of schools and their teaching equipments to confirm a favorable or not environment for developing educational processes. In this way, this work aims to relate the enrollment of students as school types with the demand of young people who will be able to attend high school on the Rio Grande do Norte state by the year of 2020, emphasizing teaching unities structural aspects, from a school profiling to the design of three prospective alternatives. So, from INEP's Scholar Census data and IBGE population's projections, this work is composed by four stages: i) literature review about research related subjects; ii) database design and build; iii) school profiling; and, iv) prospective alternatives creation. As results, three alternatives relate potential demand and enrollment using the built profiles and they are: i) “Alternative A” attends PEE's requirements related to demands but do not provide improvements in the school structural aspects; ii) “Alternative B” points into an increase of enrollment offering to the detriment of school's structural conditions which are offered to these students; iii) “Alternative C” propitiates a quantitative enrollment increasing combined with improvements on school's physical structure. These alternatives help to support decision making related to goals and realization of universal access with physical conditions which are necessary to a favorable environment to educational activity development.

Progettazione e sviluppo di un framework in ambiente Android per la realizzazione di interfacce utente see-through e hands-free

La tesi tratta l'esplorazione dell'idea per una nuova tipologia di interfacce utente, progettate specificatamente per dispositivi wearable hands free (più nel dettaglio per un'accoppiata smart glass Android based e gesture recognizer). Per facilitare lo sviluppo di applicazioni basate su questi dispositivi è stato realizzato un framework che permetta di costruire, in maniera relativamente semplice, interfacce utente innovative, che consentano all'utente di interagire con i contenuti digitali senza interrompere il suo contatto con la realtà e senza costringerlo a utilizzare le mani.

Comparison of earthquake-related consequences through loss analysis of different braced frame structural systems

Il presente elaborato di tesi tratta la valutazione di differenti sistemi di controventatura, sia dal punto di vista di risposta ad un evento sismico che in termini di perdite economiche legate al danneggiamento delle varie componenti. Tra di esse è presentata anche una nuova tipologia strutturale, ideata per ridurre il comportamento “soft-story” e “weak-story”, tipico delle strutture controventate convenzionali. In questo caso, è integrata alla struttura una trave reticolare metallica, che funge da supporto verticale ed è progettata per rimanere in campo elastico. Tale sostegno garantisce una distribuzione più uniforme degli sforzi lungo l’intera altezza della struttura, anziché concentrarli in un unico piano. La ricerca tratta lo studio della fattibilità economica di questa nuova tecnologia, rispetto alle precedenti soluzioni di controventatura adottate, confrontando le perdite economiche delle diverse soluzioni, applicate ad un unico prototipo di edificio collocato a Berkeley, CA. L’analisi sismica tiene in considerazione di tre diversi livelli di intensità, riferiti a un periodo di ritorno di 50 anni, corrispondente alla vita dell’edificio: questi sono caratterizzati dalla probabilità di ricorrenza, rispettivamente del 2%, 10% e 50% ogni 50 anni. L’ambito di ricerca presentato è estremamente innovativo e di primario interesse per lo sviluppo di uno studio sulla resilienza, che può essere adattato anche in un modello di urbanizzazione futura.

Assimilazione dati di precipitazione in un modello meteorologico ad alta risoluzione (MOLOCH): sviluppo ed applicazione alla previsione di eventi intensi in Liguria

L'Italia è spesso sede di eventi d'intensa precipitazione, frequentemente associati ad alluvioni con conseguente perdita di vite umane e gravi danni economici. È quindi di fondamentale importanza poter prevedere questi eventi con un adeguato anticipo. Allo stato attuale, i modelli meteorologici non permettono sempre di raggiungere tale obbiettivo e, di conseguenza, è in atto un'intensa attività di ricerca al fine di di renderne più accurata la previsione, sia attraverso il miglioramento dei modelli stessi, sia sviluppando l'assimilazione dati, la quale riduce l'incertezza della condizione iniziale da cui parte la previsione. All'interno di questo contesto, la tesi si prefigge l'obiettivo di studiare gli effetti dell'assimilazione di dati di precipitazione, effettuata mediante uno schema di nudging, nel modello non idrostatico MOLOCH. Al fine di ottimizzare lo schema e di valutarne l'impatto, sono stati simulati tutti gli eventi di maltempo di ottobre e novembre del 2014 che hanno interessato la Liguria, area frequentemente soggetta ad alluvioni. Dalla sistematica verifica dei risultati, effettuata sia qualitativamente che mediante numerosi metodi statistici (tra cui la tecnica SAL basata sull'individuazione dei nuclei di precipitazione), si riscontra un generale miglioramento della previsione della precipitazione anche se limitato alle prime ore dopo la fine del periodo di assimilazione. L'impatto dello schema di nudging varia a seconda dell'evento e, in particolare, si osserva una certa correlazione tra il miglioramento ottenuto e la tipologia di evento, come descritto dalla teoria dell'equilibrio convettivo e come riportato in alcuni studi analoghi recentemente comparsi in letteratura. La ricaduta del miglioramento della previsione meteorologica è stata valutata anche in termini di impatti al suolo accoppiando il modello meteorologico con il modello idrologico utilizzato dal Centro Funzionale della Regione Liguria, con risultati abbastanza positivi.

Ruote per arredi da ufficio dal design innovativo

Studio e progettazione di una nuova ruota per arredi da ufficio dal design innovativo. La ruota si differenzia per essere una tipologia Hub-less (senza mozzo), dotata di un carter che la protegge da polveri e corpi esterni e un sistema di riduzione dell'attrito che aiuta l'utente a muoversi in completa libertà.

La segnaletica di cantiere e la sua influenza sulla condotta di guida degli utenti

Il presente testo viene redatto con lo scopo di studiare l’effettiva interazione tra i cantieri stradali, con la relativa segnaletica, e gli utenti che transitano sulla sede stradale interessata da lavori di rifacimento, manutenzione o adeguamento della stessa, partendo dalla conoscenza di tutta la normativa che disciplina i cantieri su strada. Nel presente testo verrà esposta in modo dettagliato la sperimentazione effettuata, analizzando il percorso di prova, il campo prove con i relativi partecipanti, la tipologia dei cantieri presenti lungo il percorso e il segnalamento di ciascuno di essi. Questo studio verrà svolto analizzando nel dettaglio il comportamento dell’utente alla guida ed in particolare la sua risposta alle informazioni fornite dalla segnaletica temporanea di cantiere, sia verticale che orizzontale, grazie a strumenti specifici quali il Mobile-Eye ed il V-Box. I risultati ottenuti, infine, saranno discussi per valutare quali siano le migliori pratiche di installazione di un cantiere su strada e di posizionamento della relativa segnaletica, per ottenere la massima visibilità e considerazione da parte dei conducenti, e quindi la regolazione del loro comportamento in termini di adeguamento della velocità di marcia in relazione ad una situazione straordinaria che si presenta lungo il tracciato che stanno percorrendo. Tutto ciò potrà servire a redigere delle linee guida specifiche in merito all’installazione dei cantieri e al posizionamento della relativa segnaletica di avviso e preavviso, sempre nel rispetto di tutta la normativa che ne disciplina gli stessi.

Contributos dos Cursos EFA no desenvolvimento pessoal, profissional e comunitário

A educação e formação de adultos (EFA) é imprescindível na atual sociedade, pois esta está em constante transformação, sendo necessário a atualização dos indivíduos, ou seja os conhecimentos e as experiências são cada vez mais privilegiados especialmente em contexto profissional exigindo dos indivíduos mais qualificação. Assim, educar e formar não passa só pela educação formal (ensino tradicional), mas também pela educação não formal centrada nas aprendizagens ao longo da vida, tendo essencialmente em conta o saber-fazer adquirido através das práticas do quotidiano, tornando esta tipologia de ensino mais dinâmica e inclusiva, pois tem em conta as características do indivíduo certificando os seus saberes, competências e práticas através dos cursos de educação e formação de adultos, por exemplo o RVCC que foi mencionado no decorrer do presente trabalho. É importante salientar, que os saberes e competências que são adquiridos no quotidiano também podem ser de carácter informal (educação informal), estando por isso presentes aprendizagens involuntárias obtidas em contexto familiar ou social. Pode-se afirmar que o ensino não está unicamente reservado aos mais novos (crianças e jovens), mas também direcionado para os adultos e seniores, considerando que as aprendizagens podem ser obtidas na educação formal, não-formal e informal. Assim, cada tipologia será importante em distintas faixas etárias ou em determinados momentos da vida. Neste sentido, a investigação pretende compreender a perspetiva dos formandos e formadores/coordenadores dos cursos EFA do concelho de Leiria, nomeadamente no que diz respeito aos contributos que esta tipologia de formação proporcionou, bem como a perspetiva dos formandos/coordenadores em relação a este. Assim, na recolha de dados utilizou-se uma abordagem qualitativa, usando como técnicas de recolha dos dados os inquéritos por entrevista e por questionário.

Aplicação dos princípios LEAN MANAGEMENT ao projeto de moldes para injeção

Num mercado globalizado e extremamente competitivo, a escolha de uma metodologia de gestão é determinante para ditar o sucesso ou fracasso de uma empresa. O investimento em capital humano e tecnológico deve ser acompanhado por uma gestão de processos, rápida e eficaz, que direcione a organização para uma redução dos custos de um produto ou serviço. Nos últimos anos, vários autores têm demonstrado que uma das estratégias utilizadas para atingir este objetivo tem sido a aplicação da metodologia Lean Management, que ganhou reputação pelos resultados positivos alcançados. Este projeto foi elaborado em contexto industrial, no departamento de projeto da empresa Tecnifreza S.A., e teve como principal objetivo demonstrar que é possível obter uma diminuição do tempo de execução do projeto de um molde (lead time), através da aplicação dos princípios Lean Management. A metodologia utilizada assentou no registo detalhado de atividades predefinidas, ocorridas durante o projeto, baseada numa amostra constituída por nove moldes que melhor representam a realidade/tipologia produtiva da empresa. Após a análise dos dados obtidos, verifica-se que o desvio médio é de 91,7% entre o tempo de projeto inicialmente previsto pela direção e o tempo efetivo registado. Identificaram-se ainda as principais atividades que não acrescentaram valor aos projetos em estudo. Estas atividades, consideradas como desperdícios, perfazem no seu conjunto 34,6% do tempo total. Foram então sugeridas propostas de melhoria, de modo a reduzir ou eliminar estes tempos. De forma a avaliar o impacto destas propostas, foram realizadas estimativas tendo por base os dados de um molde tipo. Os resultados obtidos demonstram que, com a implementação das propostas de melhoria, são alcançados ganhos significativos na redução do lead time do projeto e consequentemente no tempo total de fabrico do molde. A antecipação na entrega dos desenhos 3D para a fabricação revela-se bastante evidente, existindo ainda um aumento no nivelamento da entrega de projetos para a fabricação. Face aos resultados apresentados verifica-se que a implementação de princípios Lean no departamento de projeto mostra-se potencialmente vantajosa, em particular com a introdução de células de trabalho e a realização do ciclo PDCA.

Refletindo e investigando enquanto educadora e professora - Brincadeiras e interações entre crianças no contexto de Jardim de Infância

O presente relatório foi elaborado no âmbito do Mestrado em Educação Pré-Escolar e Ensino do 1.º Ciclo do Ensino Básico, estando organizado em duas dimensões. A primeira dimensão, a reflexiva, consiste na apresentação do percurso que realizei ao longo das práticas pedagógicas nos diferentes contextos, evidenciando as experiências mais significativas, algumas propostas educativas implementadas, as dificuldades e os desafios que surgiram e as aprendizagens realizadas. Na dimensão investigativa dou a conhecer o estudo de carácter qualitativo, na forma de estudos de caso, desenvolvido com três crianças de três anos, no contexto de Jardim de Infância. Esta investigação procurou conhecer as brincadeiras desenvolvidas por três crianças no momento de brincadeira livre, permitindo-me descrever as interações estabelecidas com os pares e identificar a tipologia das brincadeiras, tanto pelo seu conteúdo, como pela sua dimensão social. Os dados revelaram a envolvência das crianças em todos os tipos de brincadeira, evidenciando-se a predominância das brincadeiras faz-de-conta e cooperativa.